HomeMy Public PortalAbout12-0036 PlougheDATE ISSUED: 02 -8 -2012
WORK DESCRIPTION
WORK LOCATION
OWNER NAME
ADDRESS
CITY, ST, ZIP
PHONE NUMBER
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEES CHARGED
PROPERTY IDENTIFICATION #
PROJECT VALUATION
CITY OF TYBEE ISLAND
BUILDING PERMIT
PLMG - TIE LAWN SPRKLR TO HOME
1405 SOLOMON AVE
ANTHONY M PLOUGHE
1405 SOLOMON AVE
TYBEE ISLAND GA 31328
ANTHONY M PLOUGHE
1405 SOLOMON AVE
TYBEE ISLAND GA 31328
P
$ 0.00
$ 40.00
PERMIT #: 120036
TOTAL BALANCE DUE: $ 0.00
It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire, soil
and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including all
environmental laws and regulations when applicable, subsequent owners should be informed that any alterations to the property must be
approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee island harmless on any construction
covered by this permit.
This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted work
will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided unless
work has begun within six months of the date of issuance.
Signature of Building Inspector or Authorized Agent:
Cl&
P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -9539
www.cityoftybee.org
CITY OF TYBEE ISLAND. GEORGIA
APPLICATION FOR BUILDING PERMIT
L2 -o D3
Locati. n
Owner
_11105 s Ao., Avt
NAME
%oN
Architect
or Engineer
Building
Contractor
"Pjirf4,4.4iA 3iv
PIN
ADDRESS
/yes SokMav AVE
IIII PHONE
.
�y1 • -fl3, 3 5 Ji
(Check all that apply)
❑ Repair
❑ Renovation
❑ Minor Addition
❑ Substantial Addition
❑ Other
Jcsidential
❑ Single Family
❑ Duplex
❑ Multi-Fain Hy
❑ Commercial
I t otprint Changes
Dist over)
Demolition
Details of Project r'k w46.wv! > it - f� b ,MAW SyIP . L' 4wft
ni An, 1 A Wn, SId wxish, Spsricei.
Estimated Cost of Construction: S 'lO•DD
Construction type _
(1) Wood Frame
(2) Wood & Masonry
(.t) Brick Veneer
Proposed use:
Remarks:
_ (Enter appropriate number)
(4) Masonry
(5) Steel & Masonry
(6),,Qthcr (please specify)
rVC 1_4(1434
ATTACH A COPY OF THE CERTIFIED ELEVATION SI IRVEY OF LOT and complete the
following information bascd on the construction drawings and site plan:
u inits
Lot Area
it Off- street parking spaces
Trees located & listed on site plan
Access:
Driveway (II.)
Setbacks: Front
# Bedrooms
Living space (total sq. ft.)
With culvert''
Rear
Bathrooms
With Swale'
Sides (L) (R)
# Stories I !eight Vertical distance measured from the average adjacent
grade of the building to the extreme high point of the building. exclusive of chimneys. heating
units. ventilation ducts. air conditioning units. elevators, and similar appurtances.
During construction:
On -site restroom facilities will be provided through _ __
On -site waste and debris containers will be provided by _
Construction debris will he disposed by _ _ _ by means of
understand that I must comply with zoning, flood damage control, building, fire sho
protections and wetlands ordinances FEMA regulations and all applicable codes and regulations.
1 understand that the lot must be staked out and that the stakes w ill be inspected to ensure that the
setback requirements are met. I understand also that a certified plot plan showing elevation must
be attached to this application and that an as -built elevation certification is due as soon as the
habitable floor level is established. Drainage: I realize that 1 must ensure the adequacy of
drainage of this property so that surrounding property is in no way adversely affected. I accept
responsibility for any corrective action that may be necessary to restore drainage impaired by this
permitted construction.
Date:
Signature of Applicant:
Note: A permit normally takes 7 to 10 days to process.
Af • PeL■••••:7._____
77re folfmring iv to he completed by ('ih per .onnel
Zoning certification
Approved rezoning/variance?
Street address and number. New
Is it in compliance with City map?
If not, has street name andlor number hcen reported to MPC?
NFIP Flood Zone
Existing
FEMA Certification attached _ _
State Energy Code Affidavit attached _
Utilities and Public Works:
Describe any unusual finding(s)
Access to building site
Distance to water main tap site
Distance to sewer stub site
Water meter size
Storm drainage
Approvals: Signature Date
Zoning Administrator
Code Enforcement Officer
Water /Sewer
Stonn/Drainage
Inspections
City Manager
FEES
Permit
Inspections
Water Tap
Sewer Stub
Aid to Const.
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F CTION Huff D'N ; E;.EvAT,ON INFORMATION (SURVEY REQUIRED,
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SECTION C' - SURVEYOR ENGINEER, ' RAF,i:ri.TF CT CERTIFICATI.iN
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IMPORTANT: in these Spaces, copy the corresponding information from Section A. Fot insuta.-.ce Company Use:
F.,:cilzt.ns Steel A0,3"eb.5. . 3.0;;;. No.. tr Rc.c..te aric Box N.; Pc: o.
450‘,,t) otow,) A-tie.T.A4e
L,ity Sti.-.e ',-.!'• ,,,o't. it.c.npany NA1G Number I
7-9/36e. 1 51-41P 3/ 31E. i
SECTION D - SURVEYOR, EN3INEER. OR ARCHITECT CERTIFICATION ICONTINUED)
Cody but sales of ',his Fievation G.ertrtceLe for 0; cbrnmunity offitia:. (Z.; insaarice ageriticznipany. and t3 ; buitaiiig owt:cr
Comment's
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SECTION LF--11ALD ING ELEVATION INFORMATION (SURVEY NOT REQ(JIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
LOMR-F tegst ttimolete Beitons A, B,
7. Tcii Atm:, ., . ally, enter meters.
P-VC2 ; r-:k PFDP'tal' •"' • e+etrattor fughast aciace.c
t,
a TN.; o botorr tiro oncluding baserrc-- 7 .... cr enzto:e _ L jtiv trw HAG
Tot. ot bottom lz,o; (ir...IJOing baser - r - . ete s Labs ve or tribe'ow the LAG
r_ Fcr 6udir £wL pe•-"ta: , t:- t A le vci:ve,.. 8 r sl;uct5rts). tt.e next tugher toor
elevation 02 b ;■ai c.agramsf o• .-g _ rrere s ab3W-, AG
E3 Asa-theta garage .top of stab) ts j J meters 0 above cr . bekw the ItAG
1-4 Top of platform of machinery artaior equipment sery ctn...., the building 11! _ _ Ej feet n meters [j] above or n be ow the HAG.
Zo-e AO ,f flo,-.4 arab. ber avallaS4 t of me hottor r.atea in accordance tterth the orro-unrty fthadrhain manacernent
3ri:narce? 7-1 Yes E No Lnitogwr. 1 he lat... TLSI 4" SeCion
SECTION F - PROPERTY OWNER OR OWNER'S REPRESENTATIVE) CERTIFICATION
pr,parl'y owner's autr . 7 • :-...tectics A 6 a to, E foi Zone A twtmotn FF Ma -xcstaed or centmunrty-tssued BFE'
or 7cr-e AO Ticst s..nr. lere. Toe s,,-- •a-., t-ifsr of ..fty
One • s 1. oniaove's Namo
Addiess
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State ZIP Corse
7 eieptione
0 cried. here rf altpchmertis
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SECTION G - COMMUNITY INFORMATION (OPTIONAL)
Tne lobal ofTic..al no it; autrionzed by l;:w or ordinance tc amtin.ster the tnrnmun.ty s lloodolaat mara gement ordinance cart r„cmplete Secliorts A. b C (or E;.
_ ..:. G ot this Elett :.- -.:, 1 tz....tt-- '..ot -p ete Ire ito.:.,-,-It.:e :ter- i er v. : ,-;^ ce.c.t. :-ecit, the meast-i-p-i.e- I . sea r. lei' 3E and 0 .c.
The trormal cr. . Sect ott .... was taxer. f:or ever doc-o-nertat . ' I-. ' -2: bee s-.--.x.:. a- ,.: LE.a.e."...,} a 1...ensed Suhetyal englitect or arcis.twc.-, ,st-,,
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is a',..thonzeci t y law to certtfy elevatrth infornation imitate tilt s:..e ana pate -of the cev3t1;‘, sage .ft the Comments area below i
:....:e 't...-. A t....5m•.,,J.Itly cit,chsi °xi-pitted Secomet E tor 11 tuito,rag irate c r Z-I,t , '..1,0%C..,1 a FEmk-osst.bect cr zorcrnuritty 4.1.butal BEE) or Zone A.C..)
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fo low rig -.formation fawns 34-G9, is put/tato or communtr, :-.:,:"...,Dtar, management purposes
Perma f,...mbe" ":i5 Date Permit ISSJeC Dzte Cerfterte C T.ompflanceKiccupano-5..ssued
. _
=7' This permit has been issued for ;11 New Consfructoor _; improvement
Ete,atio of as-curt .cwest .r.c.-c,tirto :assn.-v. • _it r.- loeter, PR, Daturn___
.Fu; ce,ptr. or at tr e . tet.■ t LJmetrStPR ) Datum
C. Cornmv- ty's design ficoos elevat oo feet E mete-a (PR) Datum
Officq,:s
tsta
Tide
Telephone
:,ate
rem attactimenr5
-EMA Fo.ro -31 Y'A. FT:entacRs ali orevimis editions
Building Photographs
Se & 1tE
Building Street Address inckidmc Apt I.tr%,t Suite armor Bida No or P 0 Route and Box No
rSc :m 'A,e'lue
C.ty '.cee Is'ano State GA ZIP Code ?132b
For Insurance Company Use
Poircv Number
Company NAIC Number
If using the Elevation Certificate to obtain NFIP rood ,rsu•ar::e affix a: least two bui!cing photographs below according to
the instructions for Item A6 Idertify all photographs with date tai<ert Front View and Rear View ano If required Right
Sloe View and Leh Side View If submitting more photographs than wii; `;t orr tars page use the Contrruation Page cn the
reverse
Side
Side
Rear
Front
Bicirg Set AtIdtess:
s. tr
ee I5.ar2 State G
Building Photographs
ano
-y Corrpan.,, Use
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C;Nrrany NAIC N,rnher
,,s ng the Elevat•cr Certificate t.-.) c bar tiiF fi:•ir..a .rE..-uranT.e at. 2*. east t;;;-.. photcgraishs acc:i'd;ng tc
t-e instructio-is fn, Ite A entity a chotcgrachis th •ate take- gni 'Rear Vie*4 anrt, reguirPd Right
ge vie,A ahtt L et! if sticrn !ting mo'c pi-etz:grapris tha- f pace Lise Ire Cc <. Pace or the
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